Individual
MRS. MICHELLE LYNETTE GOYMERAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
507 SILVER LAKES DR, DUMONT, CO 80436-5090
(970) 290-3545
Mailing address
PO BOX 391, DUMONT, CO 80436-0391
(970) 290-3545
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
664
CO
174400000X
Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
352309556
MASSAGE THERAPY
CO
Enumeration date
01/22/2008
Last updated
02/02/2023
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